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Discovery Health Medical Scheme 2018 contributions

Discovery Health Medical Scheme 2018 contributions Series Plan contributions contributions to Medical Savings Account Total contributions Main member Adult Child* Main member Adult Child* Main member Adult Child*. Executive Executive Plan 4 463 4 463 851 1 487 1 487 283 5 950 5 950 1 134. Classic Comprehensive 3 662 3 464 731 1 220 1 154 243 4 882 4 618 974. Classic Delta 3 299 3 122 656 1 099 1 040 218 4 398 4 162 874. Comprehensive Classic Comprehensive No Medical Comprehensive 3 662 3 464 731 3 662 3 464 731. Zero MSA Savings Account Essential Comprehensive 3 487 3 299 702 615 582 123 4 102 3 881 825. Essential Delta 3 140 2 967 631 554 523 111 3 694 3 490 742. Comprehensive Classic Priority 2 411 1 901 965 803 633 321 3 214 2 534 1 286.

GM_47499DHM_02/09/17_V21 Discovery Health Medical Scheme Contact Centre 0860 99 88 77 | healthinfo@discovery.co.za | www.discovery.co.za www.discovery.co.za @Discovery_SA discoverysouthafrica

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Transcription of Discovery Health Medical Scheme 2018 contributions

1 Discovery Health Medical Scheme 2018 contributions Series Plan contributions contributions to Medical Savings Account Total contributions Main member Adult Child* Main member Adult Child* Main member Adult Child*. Executive Executive Plan 4 463 4 463 851 1 487 1 487 283 5 950 5 950 1 134. Classic Comprehensive 3 662 3 464 731 1 220 1 154 243 4 882 4 618 974. Classic Delta 3 299 3 122 656 1 099 1 040 218 4 398 4 162 874. Comprehensive Classic Comprehensive No Medical Comprehensive 3 662 3 464 731 3 662 3 464 731. Zero MSA Savings Account Essential Comprehensive 3 487 3 299 702 615 582 123 4 102 3 881 825. Essential Delta 3 140 2 967 631 554 523 111 3 694 3 490 742. Comprehensive Classic Priority 2 411 1 901 965 803 633 321 3 214 2 534 1 286.

2 Priority Essential Priority 2 349 1 847 938 414 325 165 2 763 2 172 1 103. Classic Saver 2 080 1 640 833 693 546 277 2 773 2 186 1 110. Classic Delta Saver 1 661 1 312 668 553 437 222 2 214 1 749 890. Saver Essential Saver 1 873 1 405 751 330 247 132 2 203 1 652 883. Essential Delta Saver Coastal Saver 1 495. 1 728. 1 127. 1 297. 600. 696. 263. 432. 198. 324. 105. 174. 1 758. 2 160. 1 325. 1 621. 705. 870 Plan range summary Classic Smart 1 647 1 298 658 No Medical 1 647 1 298 658. Smart Essential Smart 1 180 1 180 1 180 Savings Account 1 180 1 180 1 180. Classic Core 2 064 1 626 826 2 064 1 626 826. Classic Delta Core 1 652 1 301 660 1 652 1 301 660. No Medical Core Essential Core 1 773 1 329 712 1 773 1 329 712. Savings Account Essential Delta Core 1 417 1 065 569 1 417 1 065 569.

3 Coastal Core 1 610 1 209 641 1 610 1 209 641. KeyCare Plus 0-8 550 990 990 359 990 990 359. 2018. KeyCare Plus No Medical 1 386 1 386 389 1 386 1 386 389. 8 551-12 200 Savings Account KeyCare Plus 12 201+ 2 064 2 064 553 2 064 2 064 553. KeyCare Access 0-5 330 697 697 306 697 697 306. KeyCare Access 930 930 337 930 930 337. 5 331-8 550 No Medical KeyCare KeyCare Access Savings Account 1 344 1 344 378 1 344 1 344 378. 8 551-12 200. Discovery Health Medical Scheme KeyCare Access 12 201+ 2 018 2 018 546 2 018 2 018 546. Contact Centre 0860 99 88 77 | | KeyCare Core 0-8 550 792 792 205 792 792 205. KeyCare Core No Medical 988 988 243 Savings Account 988 988 243. 8 551-12 200. KeyCare Core 12 201+ 1 525 1 525 345 1 525 1 525 345.

4 * We count a maximum of three children when we work out the monthly contribution and annual Medical Savings Account. ** Income verification will be conducted for the lower income bands. Income is considered as: The higher of the main member or registered spouse or partner's earnings, commission and rewards from employment; interest from investments; income from leasing of assets or property; distributions received from a trust, pension and/or provident fund; receipt of any financial assistance received from any statutory social assistance programme. Annual Medical Savings Account Annual Threshold Amounts Annual Threshold Series Plan Main member Adult Child*. Executive Executive Plan 17 844 17 844 3 396 Main member Adult Child*.

5 Classic Comprehensive 14 640 13 848 2 916 Executive 20 350 20 350 3 850. Classic Delta Comprehensive 13 188 12 480 2 616. Comprehensive Comprehensive 16 790 16 790 3 200. Essential Comprehensive 7 380 6 984 1 476. @Discovery_SA discoverysouthafrica Essential Delta Comprehensive 6 648 6 276 1 332 Priority 14 240 10 670 4 660. Discovery Health Medical Scheme is regulated by the Council for Medical schemes . Classic Priority 9 636 7 596 3 852. Above Threshold Benefit limits Complaints process: The following channels are available for your complaints and we encourage you to follow the process: Step 1 To take your query further Priority if you have already contacted the Discovery Health Medical Scheme and feel that your query has still not been resolved, please complete our online complaints Essential Priority 4 968 3 900 1 980.

6 Form on We would also love to hear from you if we have exceeded your expectations. Step 2 To contact the Principal Officer if you are still Main member Adult Child* not satisfied with the resolution of your complaint after following the process in Step 1 you are able to escalate your complaint to the Principal Officer of the Classic Saver 8 316 6 552 3 324. Discovery Health Medical Scheme . You may lodge a query or complaint with Discovery Health Medical Scheme by completing the online form on Classic Delta Saver 6 636 5 244 2 664 Executive or by e-mailing Step 3 To lodge a dispute if you have received a final decision from Discovery Health Medical Scheme and want to challenge it, you may lodge a formal dispute. You can find more information of the Scheme 's dispute process on the website.

7 Step 4 Discovery Health unlimited Saver Essential Saver 3 960 2 964 1 584 Medical Scheme is regulated by the Council for Medical schemes . You may contact the Council at any stage of the complaints process, but we encourage you Comprehensive to first follow the steps above to resolve your complaint before contacting the Council. Contact details for the Council for Medical schemes : Council for Medical Essential Delta Saver 3 156 2 376 1 260 schemes Complaints Unit, Block A, Eco Glades 2 Office Park, 420 Witch-Hazel Avenue, Eco Park, Centurion 0157 | | 0861 123 267 |. Coastal Saver 5 184 3 888 2 088 Priority 12 080 8 610 4 170. The benefits explained in this brochure are provided by Discovery Health Medical Scheme , registration number 1125, administered by Discovery Health (Pty) Ltd, registration number 1997/013480/07, an authorised financial services provider and administrator of Medical schemes .

8 This brochure is only a summary of the key benefits and features of Discovery Health Medical Scheme plans, awaiting formal approval from the Council for Medical schemes . In all instances, Discovery Health * We count a maximum of three children when we work out the annual Medical Savings Account. * We count a maximum of three children when we work out the Annual Threshold and Above Threshold Benefit limit. Medical Scheme Rules prevail. Please consult the Scheme Rules on When reference is made to we in the context of benefits, members, If you join the Medical Scheme after January, you won't get the full amount because it is calculated by counting the remaining months in the year. If you join the Medical Scheme after January, you won't get the full amount because it is calculated by counting the remaining months in the year.

9 Payments or cover, in this brochure this is reference to Discovery Health Medical Scheme . GM_47499 DHM_02/09/17_V21. EXEC UTIVE COMPREHENSIV E P R I OR I T Y SA VE R SMART CO R E K E Y CA R E. Classic Zero MSA Classic Essential Classic Essential Classic Essential Coastal Classic Essential Classic Essential Coastal Core Plus Access The most extensive cover for in-hospital Affordable in-hospital benefits Comprehensive cover for in-hospital and day-to-day benefits Cost-effective in-hospital and day-to-day benefits Economical in-hospital and day-to-day benefits Value-for-money hospital plan Affordable Medical aid cover Compare our plans and day-to-day benefits and day-to-day cover Unlimited cover in any private hospital, including private ward Unlimited private hospital cover Unlimited cover in any private hospital Unlimited private hospital cover Unlimited private hospital cover in the Smart Hospital Network Unlimited private hospital cover Unlimited hospital cover in our KeyCare hospital networks cover Guaranteed full cover in hospital for specialists we have a Guaranteed full cover in hospital for specialists on a payment Guaranteed full cover in hospital for specialists on a payment Guaranteed full cover in hospital for specialists on a payment Guaranteed full cover in hospital for specialists on a payment Guaranteed full cover in hospital for specialists on the KeyCare Guaranteed full cover in hospital for specialists on a

10 Payment arrangement, up to 200% of the Discovery Health Rate (DHR) on arrangement, and up to 200% of the DHR on the Classic Plan and arrangement, and up to 200% of the DHR on Classic plans payment arrangement with, and up to 200% of the DHR on Classic arrangement, and up to 200% of the DHR on Classic plans network, and up to 100% of the Discovery Health Rate (DHR) for arrangement, and up to 300% of the Discovery Health Rate (DHR) Classic plans and up to 100% of the DHR on Essential plans for up to 100% of the DHR on the Essential Plan for other healthcare and 100% on Essential and Coastal plans for other healthcare and up to 100% of the DHR on Essential for other healthcare and 100% on Essential and Coastal plans for other healthcare other healthcare professionals for other specialists and 200% at the DHR for other healthcare other healthcare professionals professionals professionals professionals professionals Essential cover for chronic medicine on the KeyCare medicine list professionals Full cover for chronic medicine for all Chronic Disease List (CDL)


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